Abdominal Trauma

"Doctor - what do you want to do with the patient with abdominal trauma now? Laparotomy? CT??" you are asked by the Emergency Room staff. You strike a wise pose, remember that you have listened to Andrew Deytrikh talk to Adam Brooks about abdominal trauma in this podcast, and say "Physiology drives decision making in major trauma" and then do the right thing for the patient. This podcast discusses all aspects of blunt and penetrating abdominal trauma beyond immediate ATLS. Patterns of injury, injuries across boundary areas (diaphragm, groin), straight to theatre vs CT, stabbing vs gunshot vs blunt trauma are all discussed. If you're not working in a Major Trauma Centre this podcast discusses which patients with trauma to transfer and when, should they have a CT before transfer? How to manage a gunshot wound to the abdomen and how to manage bowel eviceratation are also discussed. Use this podcast with the Chest Trauma podcast to build up an essential body of knowledge for the correct management of these emergencies. Andrew Deytrikh is a core trainee in surgery at Royal Derby Hospital, UK and Adam Brooks OBE is a consultant and lead for Trauma at the East Midlands Major Trauma Centre, Nottingham, UK